Brackebusch, Joyce M
Brackebusch, Joyce M is an individual health care provider with primary practice located at 146 E Hospital Dr Ste 200 , West Columbia SC 29169-4800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Brackebusch, Joyce M can be contacted via phone (803) 936-7530.Contact Information
Primary practice address
146 E Hospital Dr Ste 200
West Columbia SC 29169-4800
Phone: (803) 936-7530
Fax: (803) 936-7532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD20476 | Oregon |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 89330 | South Carolina |
Profile Details
| NPI number | 1710065271 |
|---|---|
| LBN Legal business name | Brackebusch, Joyce M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jan 17th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710065271 | NPPES |
| Oregon | MEDICAID | 150605 |
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